| Tod A Vogel | |
|
33 N Central Ave Ste 201 Medford OR 97501-5939 | |
| (541) 613-7201 | |
| (800) 433-1396 |
| Full Name | Tod A Vogel |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 33 N Central Ave Ste 201, Medford, Oregon |
| Authorized Official Name and Position | Tod Vogel (OWNER) |
| Authorized Official Contact | 5416137201 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tod A Vogel Po Box 4752 Medford OR 97501-0197 Ph: (541) 500-8655 | Tod A Vogel 33 N Central Ave Ste 201 Medford OR 97501-5939 Ph: (541) 613-7201 |
| NPI Number | 1750050423 |
|---|---|
| Provider Enumeration Date | 09/07/2021 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Medicare PECOS PAC ID | 9537550033 |
|---|---|
| Medicare Enrollment ID | O20211216001693 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750050423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Tod Alan Vogel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922302066 PECOS PAC ID: 8527306554 Enrollment ID: I20190215002196 |
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